Stacey Latrice Willis, OTR/L

NPI #1962760066 in Arlington, Tennessee

Provider Information

NPI Number: 1962760066
Entity Type: Individual
Name: Stacey Latrice Willis, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 26, 2012
Last Updated: Apr 26, 2012

Practice Location

Address: 4513 JON STONE LN
City: Arlington
State: Tennessee
ZIP Code: 38002-7536
Phone: (901) 461-0621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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